
94 ◾ Beyond the Days of the Giants
be increasingly willful and uncooperative junior colleagues. That potential
loss of status will feel like the last straw.
Process redesign that proposes to flatten a Giant’s system into a collabora-
tive structure sounds to them like a kick in the pants. And if they believe
that to be true, your clinic-building days will be short-lived. Dr. Nicholas
LaRusso acknowledged this in his presentation with Ideo’s Tim Brown* on
interactions between Mayo doctors and Ideo’s design engineers. Dr. LaRusso
conceded that the discussions between the design engineers and the physi-
cians started unproductively and didn’t impr ...